Millicent Mae Heisner
Nurse Practitioner in Austin, TX. Individual provider (NPI-1).
NPI number1407320641
StatusActive
Last updated in NPPESMar 14, 2024
Details
- NPI
- 1407320641
- Entity type
- Individual (NPI-1)
- Name
- Millicent Mae Heisner
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 21, 2019
- Certification date
- Mar 14, 2024
- Last updated
- Mar 14, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | AP140187 | TX | Yes |
| 363LP2300X | Nurse Practitioner, Primary Care | AP140187 | TX |
Practice location
408 W 45th StAustin, TX 78751-3014
Phone 512-320-1500 · Fax 512-459-1399
Mailing address
300 E Highland Mall Blvd Ste 1aAustin, TX 78752-3746
Phone 512-320-1500 · Fax 512-459-1399
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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